Prayers for Damar Hamlin

If any of you are interested the Uncle of DH will be speaking to CNN next after the commercial break to provide further updates

Originally posted by ninerfan4life:

Just spoke with Dorrian Glenn — Damar Hamlin's uncle — who said his nephew is on a ventilator but he's improved to 50% oxygen needed after being at 100%. He's still sedated but main focus is recovering to breathe on his own & healing lungs.

Full interview on @nflnetwork: pic.twitter.com/lsCSrlrjKf

— Cameron Wolfe (@CameronWolfe) January 4, 2023

thank you

Originally posted by ninerfan4life:

Just spoke with Dorrian Glenn — Damar Hamlin's uncle — who said his nephew is on a ventilator but he's improved to 50% oxygen needed after being at 100%. He's still sedated but main focus is recovering to breathe on his own & healing lungs.

Full interview on @nflnetwork: pic.twitter.com/lsCSrlrjKf

— Cameron Wolfe (@CameronWolfe) January 4, 2023

I get better medical news here than on MSM.

Originally posted by ninerfan4life:

Just spoke with Dorrian Glenn — Damar Hamlin's uncle — who said his nephew is on a ventilator but he's improved to 50% oxygen needed after being at 100%. He's still sedated but main focus is recovering to breathe on his own & healing lungs.

Full interview on @nflnetwork: pic.twitter.com/lsCSrlrjKf

— Cameron Wolfe (@CameronWolfe) January 4, 2023

Thats good to hear. Just got to hope he didn't suffer major brain damage, but if they got CPR going quick enough he might be able to pull through.

Originally posted by _Goldblooded_:

Originally posted by Negrodamus:

Originally posted by ninerfan4life:
Almost 24 hours and still no real updates

According to CNN at the moment DH needed to be resuscitated twice; once on the field and once at the hospital according to an uncle of DH. He is still not breathing on his own and he is currently in PRONE position.

I am a cardiologist.

People are stating it is due to commotio cordis (arrhythmia due to blunt trauma) to the chest which it could be but classically that is most often in kids and teens with small objects moving quickly (baseball, lacrosse, hockey, etc). He will need to be evaluated for cardiomyopathies (HCM, ARVC, etc) and channelopathies (CPVT, Brugada, Long QT syndrome, etc).

RIght now neurologic recovery is key. When the heart stops brain perfusion is key. You can have permanent brain damage in just minutes. CPR can curb that and buy time. The fact that he got good CPR quick and was defibrillated with an AED is key.

Right now he is intubated and sedated. Often we cool a patient core body temp in the setting of cardiac arrest. It can take up to 72 hours to prognosticate.

It also seems from this report that he has acute lung injury (ALI) or acute respiratory distress syndrome (ARDS) which can happen from lung contusions (from CPR) or even just from an arrest.

The key will be his brain function.

Thanks for contributing to this. I am an emergency medicine/critical care physician. I second everything you said.

What I am worried about most is neurologic recovery as well. It sounds like his time to ROSC was probably 8-10 minutes initially and he got CPR right away. Hopefully the 2nd arrest that is being reported wasn't prolonged. Cooling in this situation is probably recommended (but I'm sure as you know there isn't great data to support it). Neuroprognostication is key, as you mentioned, and will take a while. They will have to feel comfortable lifting his sedation.

My other concern is that somewhere it is being reported that he is proned. That is definitely worrisome as well because it suggests his oxygenation is a serious issue. Being down to 50% on the vent is great but the FiO2 requirements typically go up/down/up/down in cases like this. He may have aspirated, could be from the CPR or any other of a hundred causes of ARDS.

He's young, and that is a big thing supporting his recovery.

Originally posted by barrymartin:
Your logic is sound if if was myocarditis that was in process. Then there would have been symptoms during warm up...Granted...However, many athletes have and are dying on the field, mostly in other countries...69 died in one month at the end of 2021 when Vaxxing was near its peak. Here's an article that corroborates it..
https://dpbh.nv.gov/uploadedFiles/dpbhnvgov/content/Boards/BOH/Meetings/2021/Public%20Comments%20324%20to%20328.pdf

That first link appears to be a copy-and-paste job sent via email, so I Googled a small part of the text, and let's just say that the actual editorial and the website of origination is extremely questionable or even doubtful at best.

Originally posted by grapesofrathman:

Originally posted by barrymartin:
Your logic is sound if if was myocarditis that was in process. Then there would have been symptoms during warm up...Granted...However, many athletes have and are dying on the field, mostly in other countries...69 died in one month at the end of 2021 when Vaxxing was near its peak. Here's an article that corroborates it..
https://dpbh.nv.gov/uploadedFiles/dpbhnvgov/content/Boards/BOH/Meetings/2021/Public%20Comments%20324%20to%20328.pdf

That first link appears to be a copy-and-paste job sent via email, so I Googled a small part of the text, and let's just say that the actual editorial and the website of origination is extremely questionable or even doubtful at best.

New England Journal recently did a study and none of the myocarditis cases from the vaccine lead to death. The likelihood of myocarditis from the vaccine is low. This case is unlikely to be myocarditis as well.

Originally posted by Leathaface:

Originally posted by _Goldblooded_:

Originally posted by Negrodamus:

Originally posted by ninerfan4life:
Almost 24 hours and still no real updates

According to CNN at the moment DH needed to be resuscitated twice; once on the field and once at the hospital according to an uncle of DH. He is still not breathing on his own and he is currently in PRONE position.

I am a cardiologist.

People are stating it is due to commotio cordis (arrhythmia due to blunt trauma) to the chest which it could be but classically that is most often in kids and teens with small objects moving quickly (baseball, lacrosse, hockey, etc). He will need to be evaluated for cardiomyopathies (HCM, ARVC, etc) and channelopathies (CPVT, Brugada, Long QT syndrome, etc).

RIght now neurologic recovery is key. When the heart stops brain perfusion is key. You can have permanent brain damage in just minutes. CPR can curb that and buy time. The fact that he got good CPR quick and was defibrillated with an AED is key.

Right now he is intubated and sedated. Often we cool a patient core body temp in the setting of cardiac arrest. It can take up to 72 hours to prognosticate.

It also seems from this report that he has acute lung injury (ALI) or acute respiratory distress syndrome (ARDS) which can happen from lung contusions (from CPR) or even just from an arrest.

The key will be his brain function.

Thanks for contributing to this. I am an emergency medicine/critical care physician. I second everything you said.

What I am worried about most is neurologic recovery as well. It sounds like his time to ROSC was probably 8-10 minutes initially and he got CPR right away. Hopefully the 2nd arrest that is being reported wasn't prolonged. Cooling in this situation is probably recommended (but I'm sure as you know there isn't great data to support it). Neuroprognostication is key, as you mentioned, and will take a while. They will have to feel comfortable lifting his sedation.

My other concern is that somewhere it is being reported that he is proned. That is definitely worrisome as well because it suggests his oxygenation is a serious issue. Being down to 50% on the vent is great but the FiO2 requirements typically go up/down/up/down in cases like this. He may have aspirated, could be from the CPR or any other of a hundred causes of ARDS.

He's young, and that is a big thing supporting his recovery.

Thanks to both of you, again, for this insight and information.

Who says lawyers and doctors are natural enemies?

Actually, given blizz's posts, maybe it should be dentists and lawyers....

Originally posted by NineFourNiner:
Thanks to both of you, again, for this insight and information.

Who says lawyers and doctors are natural enemies?

Actually, given blizz's posts, maybe it should be dentists and lawyers....

You are very welcome, and I appreciate how civil and centered everyone (well, almost everyone) has been in this thread.

Originally posted by NineFourNiner:

Originally posted by blizzuntz:

Originally posted by NineFourNiner:

Originally posted by blizzuntz:

Originally posted by NineFourNiner:

Originally posted by blizzuntz:
Driving to grocery store is 1/3000 chance something bad happens .

this conditions is in the billions . It would be like making my house airplane proof incase a plane crashed into it .

I get the first point. You are side-stepping the issues that I am raising, as evidenced by the accented above, however.

Factors to consider are likelihood of negative result, severity of negative result, and cost of mitigation or prevention of negative result.

Using the first example (car crash), the odds of a negative result are quite low, but not minuscule. The current cost of mitigating that risk (since cars must have seat belts) is negligible - a second to buckle up. The impact of that choice is to greatly reduce risk of serious injury of death. In sum, a solid cost/benefit in favor of putting a seat belt on, right? Same would be true as to putting a child in a car seat.

Using your example (plane crash into house a la Donny Darko), the odds of a negative result are next to zero, the impact of the negative result is high (death and destruction), and the cost to prevent the harm is astronomical (adamantium structure?) if not impossible. Conclusion - not worth it.

The situation here is in the middle. Assuming for our discussion that players could wear a chest pad that drops the risk of cardiac arrest to near zero and that the cost for such a pad is small($50 or less), is it worth it? You appear to say no, it is not. I disagree. I suspect that many parents would as well, particularly in the aftermath of this high profile tragedy and assuming the cause is as suspected.

Think of this way , how is the prevention of concussions going ?

but it's a great business idea. Bc you can probably sell a billion of them before you get sued for it not working .

I think the prevention of concussions is probably up since helmet use has increased (and technology has improved) in football, baseball, hockey and other sports. I also know first-hand that youth sports have really focused on diagnosing and preventing the issue in recent years, which has helped. Do you disagree?

On the last point, if the product worked, why would the manufacturer get sued? Again, I am assuming for arguments sake that fairly cheap technology exists to reduce the current level of risk to zero.

I think you are misunderstanding me. Or else you just don't want to discuss this seriously. I'm not attacking you at all - just trying to have a conversation - yet you shoot back glib and tangential responses.

The information and diagnosis is better , but the technology isn't what is preventing it is what I mean. (The numbers are the same
as 2002 - 2007 )

this is why I'm saying good luck making a product that prevents it ( catchers wear protection and still get them ) .

the airplane analogy is the same . We are unlikely
ever going to see if airplane proofing a house works or not bc it is an extremely rare thing that happens

yeah... we are talking past one another. I can't seem to articulate my position in a way that allows you to respond to it. you are talking about preventing damage from a multi-ton object flying from the sky. That cannot happen absent extreme cost. You are saying we don't have the tech to prevent a cardiac arrest on the field, while my hypothetical assumes that we do. etc. This is why you went to medical school and not law school. Our brains now work differently.

Given the very low incidence of CC in American Football I feel that the available equipment is doing a good job of protecting players from it.

As far as Baseball goes, batters should be able to avoid being hit in the chest by a pitch outside of a freak event where a ball it fouled off directly into them. Pitchers and other fielders should be able to protect themselves from liners back at them as well. Catchers do seem more at risk than anyone else given their job is to block balls bouncing at them with their chest, how often balls are fouled into them, and the number of balls thrown at them. Lots of opportunity to have a ball hit their heart.

It's still a rare event, even in baseball....but they are working on safer catchers protective equipment, generally by increasing the thickness of padding over the heart. But, I wonder why a more simple fix would be to add harder covering, similar to football, over the padding and perhaps design it to redirect energy to the edges.

Prays up for him!

^you forgot hockey. Chesties are not very thick in many cases. Goalies are the exception.

We were debating hypotheticals. Blizz actually linked to a study on the issue a page or two back. I completely agree that it is a struck-by-lightning likelihood. Just wondering if a $5 improvement to the tech would drop that risk from .0000001 to .0000000001, etc.

Originally posted by _Goldblooded_:

Originally posted by grapesofrathman:

Originally posted by barrymartin:
Your logic is sound if if was myocarditis that was in process. Then there would have been symptoms during warm up...Granted...However, many athletes have and are dying on the field, mostly in other countries...69 died in one month at the end of 2021 when Vaxxing was near its peak. Here's an article that corroborates it..
https://dpbh.nv.gov/uploadedFiles/dpbhnvgov/content/Boards/BOH/Meetings/2021/Public%20Comments%20324%20to%20328.pdf

That first link appears to be a copy-and-paste job sent via email, so I Googled a small part of the text, and let's just say that the actual editorial and the website of origination is extremely questionable or even doubtful at best.

New England Journal recently did a study and none of the myocarditis cases from the vaccine lead to death. The likelihood of myocarditis from the vaccine is low. This case is unlikely to be myocarditis as well.

You know what causes a LOT of myocarditis? Covid.

A lot of people want to blame every myocarditis case on the vaccine when the vast majority were actually from catching the virus before or even after getting a shot.

I see people online all the time claiming the shot gave them this or that, all because they developed it after getting the vaccine. But, if 300 million people get a vaccine, a lot of them are going to develop everything in the book shortly after just because they were going to anyway.

But to the point, if Hamlin had myocarditis he wouldn't have been capable of playing a season in the NFL without the team noticing.